The author reviews the clinical and special social environmental data from the Soteria Project and its direct successors.
Two random assignment studies of the Soteria model and its modification for long-term system clients reveal that roughly 85% to 90% of acute and long-term clients deemed in need of acute hospitalization can be returned to the community without use of conventional hospital treatment.
Soteria, designed as a drug-free treatment environment, was as successful as anti-psychotic drug treatment in reducing psychotic symptoms in 6 weeks.
In its modified form, in facilities called Crossing Place and McAuliffe House where so-called long-term « frequent flyers » were treated, alternative-treated subjects were found to be as clinically improved as hospital-treated patients, at considerably lower cost.
Taken as a body of scientific evidence, it is clear that alternatives to acute psychiatric hospitalization are as, or more, effective than traditional hospital care in short-term reduction of psychopathology and longer-term social adjustment.
Data from the original drug-free, home-like, nonprofessionally staffed Soteria Project and its Bern, Switzerland, replication indicate that persons without extensive hospitalizations (<30 days) are especially responsive to the positive therapeutic effects of the well-defined, replicable Soteria-type special social environments. (...)
Mots-clés Pascal : Schizophrénie, Aigu, Traitement, Environnement social, Réadaptation sociale, Efficacité traitement, Article synthèse, Système santé, Suisse, Europe, Santé mentale, Homme, Psychose, Alternative hospitalisation
Mots-clés Pascal anglais : Schizophrenia, Acute, Treatment, Social environment, Social rehabilitation, Treatment efficiency, Review, Health system, Switzerland, Europe, Mental health, Human, Psychosis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0295420
Code Inist : 002B18I11. Création : 16/11/1999.